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KWA Open Gym Registration

Monday, September 7, 2026
Kemba Walker Sports Academy
24 Spring St SW, Concord, NC

Registration Fee: $5

OPEN GYM SCHEDULE

Grades 4th, 5th, 6th & 7th
10:00 AM – 11:30 AM

Grades 8th, 9th, 10th & 11th
11:30 AM – 1:00 PM

Athletes should attend the session scheduled for their current grade.

PARENT/GUARDIAN INFORMATION

First Name

Last Name

Email

Phone Number

ATHLETE INFORMATION

First Name

Last Name

Date of Birth

Current Grade

YOUR OPEN GYM SESSION

EMERGENCY CONTACT

Contact Name

Phone Number

Relationship to Athlete

MEDICAL INFORMATION

Does your athlete have any allergies, medical conditions, injuries, or other health information our coaching staff should be aware of?

Yes

PARENT/GUARDIAN CONSENT

I confirm that I am the parent or legal guardian of the athlete listed above and that the information provided is accurate. I understand that participation in basketball activities involves inherent risks and give permission for my athlete to participate in the Kemba Walker Academy Open Gym

I agree to the above

Yes

Parent/Guardian Full Name

Open Gym Registration Fee: $5

After submitting this registration form, you will be automatically directed to our secure Square payment page to complete the $5 registration fee.

Your registration is not complete until payment has been submitted.